Contraception Flashcards
1
Q
outline the mechanisms of action of COCP and progestogenic forms of contraception
A
2
Q
types of COCP?
A
- monophasic
- take pills for 21 days and then stop for 7 days where you have a withdrawal bleed
- phasic
- same but with varying amounts of hormone
- everyday
- take everyday but 7 sugar pills included
3
Q
S/E of COCP?
A
- headache
- breast tenderness
- changes to libido
4
Q
Risks?
A
- HT
- Thrombosis
- increased breast cancer risk
5
Q
Contraindications to COCP?
A
- age>35 and smoker
- uncontrolled HT
- history of thrombosis
- history of thrombosis in family
- history of stroke
- breast cancer
- migraine w aura
6
Q
when should u start COCP?
A
first day of menstrual period
7
Q
S/E of POP?
A
- spotting / amenorrhoea
- breast tenderness
- acne
8
Q
mechanism of copper coil?
A
reduces sperm motility and survival
9
Q
+ve and -ve of copper coil?
A
+ve
- can be started at any time during cycle and is effective immediately
- ve
- can cause menorrhagia & IMB
- potential of causing uterine perforation on insertion
- increased risk of ectopic pregnancy
10
Q
+ve and -ve of mirena coil?
A
+ve
- makes periods lighter / disappear altogether
- ve
- spotting/irregular bleeding
- may cause uterine perforation during insertion
- increased risk of ectopic pregnancy
11
Q
how does Depo-provera work?
A
3 monthly IM injections of a progestogen
12
Q
when should u start depoprovera?
A
on first day of menstrual period
13
Q
-ve of depoprovera?
A
takes 12 months for fertility to return
14
Q
S/E of depo provera?
A
- weight gain
- acne
- spotting /irregular bleeding
15
Q
risk of depoprovera?
A
may cause osteoporosis
